ROBERT WISDOM LMLP, LCP
NPI 1063456721
Counselor - Professional in Manhattan, KS

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since June 15, 2006

1558 HAYES DR, MANHATTAN, KS 66502(785) 587-4315(785) 587-4339 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Robert Wisdom Lmlp, Lcp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT WISDOM LMLP, LCP (NPI 1063456721) is an individual professional provider in Manhattan, Kansas, licensed in Kansas (1438) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1063456721

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameROBERT WISDOMCredential: LMLP, LCP

Location Address1558 HAYES DRManhattan, KS 66502-5068

Mailing AddressPo Box 747Manhattan, KS 66505-0747 · (785) 587-4300 · Fax (785) 587-4377

Phone(785) 587-4315

Fax(785) 587-4339

Sole ProprietorNo

Enumeration DateJune 15, 2006

Last NPPES UpdateJanuary 24, 2013

✔ NPI 1063456721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KS · 1438

Also ListedCounselorTaxonomy 101Y00000X · License 0157 (KS)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 130 (KS)

1558 HAYES DR, Manhattan, KS 66502

Open in Google Maps ↗

Other Identifiers 3

Medicaid200441350AKS

Other856662KS · Bcbs

Other11654652Caqh

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JINA MARIE MOON RN

Registered Nurse